- Datavant (Lincoln, NE)
- …the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across ... and prospective use cases. + Identify opportunities to improve coding accuracy, efficiency, and transparency through advanced reporting, dashboards, and… more
- CVS Health (Jefferson City, MO)
- …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... to vendors, providers and other team members for questions regarding ICD coding and documentation requirements. + Comprehensive knowledge of coding guidelines… more
- Datavant (Charleston, WV)
- …healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Harford Community College (Bel Air, MD)
- …lab credit hour **Classification Title** **About Harford Community College** Harford Community College ( HCC ) has been a vital part of Harford County since 1957. As a ... an ever-evolving world. As an Achieving the Dream institution, HCC is part of a national network dedicated to...of two years of experience in medical billing and coding , including EHR. **Required Knowledge, Skills, & Abilities** +… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …pertinent information to capture appropriate ICD-10, CPT, HCPCS and modifiers to complete coding portion of the process. The POMB will prepare the encounters so that ... will support the physician and mid-level providers to capture HCC codes within the clinical visit. The POMB will...be addressed. The POMB will strive to complete all coding for the day's encounters by the close of… more
- UPMC (Pittsburgh, PA)
- …Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through Friday ... for participating providers to address issues, questions and learning needs related to coding and documentation in the medical record and the various risk adjustment… more
- AdventHealth (Sebring, FL)
- …and assist with risk adjustment factor (RAF) and Hierarchical Condition Categories ( HCC ) AF/ HCC proposals, medication adherence, and wellness visits. The PCR ... or equivalent Healthcare environment experience or education + Billing and coding experience required + Insurance verification experience required + Knowledge of… more
- Elevance Health (Miami, FL)
- …to 5:00 pm** The **Clinical Quality Consultant NP** is responsible for quality documentation, coding and value capture. **How you will make an impact:** + Focus on ... supplying clinical expertise to ensure full accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical encounters and… more
- Trinity Health (Syracuse, NY)
- …A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits ... and coders. They work to improve documentation quality, identify coding discrepancies, and ensure compliance with regulations as well...to the PCP prior to their next visit. + HCC education and training will be conducted per Excellus… more
- Molina Healthcare (Scottsdale, AZ)
- …on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive relationships between providers and ... Molina by providing coding assistance when necessary + Responsible for administrative duties...Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model + Background… more
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